Please would you consider taking 5-10 minutes of your time to complete this short feedback form for East Quay Vision. Feedback is really important to make sure we know what works well and carry on doing those things, and that anything that isn’t working, we fix. So please do help - we are really grateful.
Why did you decide to have an eye examination? My routine eye test was dueI had a problem with my vision/eyesI needed a contact lens checkI wanted some new glassesI wanted to try contact lensesOther (please state)
Why did you choose East Quay Vision? I am an existing patientThe reputation of the OptometristsDoctor recommendationFamily/Friend recommendationLocationI saw an advertisementI received a leaflet at homeI listened to a talk you gaveInternet/website searchAfter other services (ACES/IOP)Other
Was the member of staff who booked your appointment polite and helpful? YesNo
Please tell us more:
When you arrived for your appointment were you made to feel welcome and comfortable? YesNo
Approachable and put you at ease? YesNo
Knowledgeable? YesNo
Gave you confidence in their ability? YesNo
Understood the main reason for your visit? YesNo
Completed a thorough examination? YesNo
Explained the examinations they did? YesNo
Explained the findings of your examination? YesNo
Recommended what I needed YesNo
If you answered No to any of the above, please tell us more:
If you needed a prescription for glasses/lenses, did you get the glasses/lenses from us? YesNo
If no, please tell us why:
Were you happy with the printed information, such as leaflets and your prescription that you were given at your last appointment? YesNo
Do we offer all of the eye care services you require? YesNo
If no - what other service would you like?
Would you recommend us to your family and friends? YesNo
Please tell us why:
Please also tell us any other feedback you have about any aspect of East Quay Vision which you feel will either encourage us or would help us improve in the future:
Thank you very much for your time.
